Vice President of Revenue Integrity

Job Description

Job Description

Description :

Position : Vice President of Revenue Integrity

Department : Revenue Cycle

FLSA Status : Exempt

Reports To : Executive Vice President of Revenue Integrity

JOB DESCRIPTION

JOB SUMMARY :

The Vice President (VP) of Revenue Integrity at EngageMED provides strategic and operational leadership to ensure the organization maximizes revenue capture, maintains compliance, and drives efficiency throughout the revenue cycle. This role leads initiatives that integrate automation, advanced analytics, and process optimization to enhance revenue integrity performance. The VP oversees charge capture, coding integrity, billing compliance, denials management, and reimbursement optimization—leveraging technology to streamline workflows, reduce manual effort, and improve accuracy.

The VP partners with senior executives, providers, and operational leaders to strengthen EngageMED’s financial performance while ensuring accuracy, transparency, and accountability in all revenue processes.

Duties / Responsibilities :

• Develop, implement, and lead comprehensive revenue integrity and automation strategies across the organization.
• Identify, evaluate, and deploy revenue cycle automation technologies (e.g., RPA, AI-driven coding validation, automated charge capture, and denial prevention tools).
• Align revenue integrity and automation initiatives with EngageMED’s mission, vision, and financial goals.
• Serve as a subject matter expert on reimbursement models, coding accuracy, automation enablement, and regulatory compliance.
• Ensure accurate, compliant, and technology-enabled charge capture and coding processes across all services.
• Lead initiatives to minimize revenue leakage, reduce manual workflows, and optimize reimbursement through intelligent automation.
• Oversee audits, monitoring, and reporting processes to validate revenue accuracy and identify automation opportunities.
• Partner with IT, Compliance, and Legal teams to implement secure, compliant automation solutions.
• Establish standardized, automated workflows and dashboards for transparency and efficiency.
• Collaborate with physicians, operational leaders, and finance teams to improve documentation and revenue outcomes using data-driven insights.
• Mentor and lead high-performing revenue integrity, coding, and billing teams with a focus on continuous improvement and technology adoption.
• Foster a culture of innovation, accountability, and digital transformation within the revenue cycle.
• Develop and manage KPIs related to revenue integrity and automation—tracking improvements in denials, reimbursement accuracy, coding efficiency, and processing speed.
• Provide regular updates to the EVP of Revenue Integrity and executive team on automation ROI, revenue outcomes, and performance metrics.
• Use analytics, automation dashboards, and AI-driven reporting tools to drive informed decision-making.
• Other duties as assigned.

Qualification / Required Skills

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